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BOARD OF TRUSTEES SAN JOAQUIN LOCAL HEALTH DISTRICT SERVING <br /> James Culbertson,Pres. City of Lodi <br /> Mary Anna Love,Vice Pres. 1601 East Hazetton Avenue, P.O. BOX 2009 San Joaquin County <br /> Patricia E.Vannucci,Secy. San Joaquin County <br /> Tommy Joyce Stockton,CalNornia 95201 City of Fscalon <br /> Furl Pimentel City of Manteca <br /> Virginia Mathews (209) 466-6781 City of Ripon <br /> DCity at Stockton <br /> aniel t-Flores <br /> John D.Mast„M.D. Jogi Khanna,M.D.,M.P.H.,District Health Officer City of Tracy <br /> San Joaquin County <br /> Gene S.Kraham <br /> AUTHORIZATION TO RELEASE ANALYTICAL RESULTS. GEOTECHNICAL DATA AND <br /> SITE ASSESSMENT INFORMATION <br /> I. the undersigned owner and/or operator of the property and/or facility <br /> located at 1250 South Wilson Way, Stockton (Fairgrounds Industrial Park) <br /> hereby authorize D & D Management Cnsiita.nts , Inc. _ <br /> to release any and all analytical results, geotechnical data and site <br /> Assessment information to the San Joaquin Local Health District as soon <br /> as it is available and at the same time it is provided to me or my <br /> representative. <br /> Owner/Operator: >� (Sydney Levin Title: Owner <br /> Address 1530 Mer di Avenue, Suite 108 Phone: (408) 265-1444 <br /> San Jose , CA 95125 <br /> Date: _A32ril 10 . 1959 <br /> EH 08 05 UGT 13 <br />